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1134415326
VANESSA LYNNE SOUTHARD
POMPANO BEACH, FL
NPI
1134415326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2011-06-25
Last Update Date
2011-06-25
Business Address
MRS. VANESSA LYNNE SOUTHARD
2708 NE 14TH ST SUITE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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Mailing Address
MRS. VANESSA LYNNE SOUTHARD
1610 S AVENIDA SIRIO
TUCSON, AZ 85710-5349
Phone number: 520-790-5904
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